Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.53 / $149.22 / $372.93	Facility		$48.53	$149.22	$372.93
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.82 / $47.50 / $81.51	Facility	26	$30.82	$47.50	$81.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $82.23 / $172.37	Professional		$44.67	$82.23	$172.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.23 / $45.34 / $96.52	Professional	26	$27.23	$45.34	$96.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.23 / $134.63 / $179.00	Professional	50	$82.23	$134.63	$179.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.57 / $34.06 / $50.14	Professional	TC	$15.57	$34.06	$50.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.74 / $231.13 / $372.21	Facility		$111.74	$231.13	$372.21
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $54.52 / $54.52 / $54.52	Facility	26	$54.52	$54.52	$54.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $77.48 / $157.71	Professional		$51.40	$77.48	$157.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.31 / $45.53 / $81.09	Professional	26	$30.31	$45.53	$81.09
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $79.35 / $109.45 / $220.40	Professional	50	$79.35	$109.45	$220.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $33.04 / $69.80	Professional	TC	$20.19	$33.04	$69.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.79 / $136.84 / $338.47	Facility		$53.79	$136.84	$338.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.29 / $34.29 / $34.29	Facility	26	$34.29	$34.29	$34.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $97.59 / $166.40	Professional		$48.47	$97.59	$166.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.60 / $54.41 / $90.84	Professional	26	$29.60	$54.41	$90.84
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.23 / $79.23 / $90.51	Professional	50	$79.23	$79.23	$90.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.87 / $38.83 / $79.91	Professional	TC	$17.87	$38.83	$79.91
United Facility/Professional Facility Modifier Low / Median / High Price $135.50 / $192.93 / $238.08	Facility		$135.50	$192.93	$238.08
United Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $86.41 / $147.62	Professional		$51.30	$86.41	$147.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.83 / $45.95 / $76.86	Professional	26	$30.83	$45.95	$76.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.61 / $34.79 / $65.94	Professional	TC	$19.61	$34.79	$65.94